{"hospital_name": "VHS Sinai Grace Hospital Inc", "last_updated_on": "2026-04-08", "version": "3.0.0", "pid": "1514635301", "rid": "11228", "location_name": ["DMC Sinai-Grace Hospital"], "hospital_address": ["6071 W Outer Dr, Detroit, MI 48235"], "type_2_npi": ["1760794044"], "license_information": {"license_number": "1060000012", "state": "MI"}, "attestation": {"attestation": "To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.", "confirm_attestation": true, "attester_name": "Geoffrey Vines"}, "standard_charge_information": [{"description": "\"\"C\"\" TAPER HEAD OSTEONICS", "code_information": [{"code": "C1776", "type": "HCPCS"}, {"code": "13204961", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 7320.0, "discounted_cash": 5490.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "1 EAST PATIENT TYPE N", "code_information": [{"code": "1251537", "type": "CDM"}], "standard_charges": [{"gross_charge": 9123.0, "discounted_cash": 6842.25, "setting": "both", "billing_class": "facility"}]}, {"description": "1 EAST PATIENT TYPE Q", "code_information": [{"code": "1251313", "type": "CDM"}], "standard_charges": [{"gross_charge": 5086.0, "discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "1 EAST PATIENT TYPE S", "code_information": [{"code": "1251289", "type": "CDM"}], "standard_charges": [{"gross_charge": 6910.0, "discounted_cash": 5182.5, "setting": "both", "billing_class": "facility"}]}, {"description": "1 EAST PATIENT TYPE U", "code_information": [{"code": "1251305", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "1 EAST PATIENT TYPE V", "code_information": [{"code": "1251297", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "1 EAST PT TYPE M", "code_information": [{"code": "1251487", "type": "CDM"}], "standard_charges": [{"gross_charge": 10947.0, "discounted_cash": 8210.25, "setting": "both", "billing_class": "facility"}]}, {"description": "1 WEST PT TYPE N", "code_information": [{"code": "1251727", "type": "CDM"}], "standard_charges": [{"gross_charge": 8602.0, "discounted_cash": 6451.5, "setting": "both", "billing_class": "facility"}]}, {"description": "1 WEST PT TYPE Q", "code_information": [{"code": "1251719", "type": "CDM"}], "standard_charges": [{"gross_charge": 5086.0, "discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "1 WEST PT TYPE S", "code_information": [{"code": "1251701", "type": "CDM"}], "standard_charges": [{"gross_charge": 5086.0, "discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "1 WEST PT TYPE U", "code_information": [{"code": "1251685", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "1 WEST PT TYPE V", "code_information": [{"code": "1251693", "type": "CDM"}], "standard_charges": [{"gross_charge": 3140.0, "discounted_cash": 2355.0, "setting": "both", "billing_class": "facility"}]}, {"description": "1-WOT SEMI-PRIVATE/V", "code_information": [{"code": "1251156", "type": "CDM"}], "standard_charges": [{"gross_charge": 3140.0, "discounted_cash": 2355.0, "setting": "both", "billing_class": "facility"}]}, {"description": "1.5MM MESH PLATE 100MM X 100MM", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "8894354", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 12442.0, "discounted_cash": 9331.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "1.5MM MESH PLATE SMALL ARC", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "8894370", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 4549.0, "discounted_cash": 3411.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "1.6MM K WIRE W TROC PT 150MM", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "10120327", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 751.0, "discounted_cash": 563.25, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "1.6MM THREAD GUIDE WIRE 150MM", "code_information": [{"code": "C1769", "type": "HCPCS"}, {"code": "10117588", "type": "CDM"}, {"code": "272", "type": "RC"}], "standard_charges": [{"gross_charge": 266.0, "discounted_cash": 199.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "11-DEOXYCORTISOL", "code_information": [{"code": "82634", "type": "CPT"}, {"code": "81204737", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 24.23, "discounted_cash": 18.17, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "17 HYDROXYCORT-ICOIDS,URINE", "code_information": [{"code": "83491", "type": "CPT"}, {"code": "80134950", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"gross_charge": 44.7, "discounted_cash": 33.53, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "17-HYDROXY PREGNENOLONE", "code_information": [{"code": "84143", "type": "CPT"}, {"code": "81205858", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 33.39, "discounted_cash": 25.04, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "18 HYDROXY CORTISOL", "code_information": [{"code": "83789", "type": "CPT"}, {"code": "81188344", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"gross_charge": 245.0, "discounted_cash": 183.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "1EAST PT TYPE Q TELEMETRY", "code_information": [{"code": "1251610", "type": "CDM"}], "standard_charges": [{"gross_charge": 5086.0, "discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "1MG-0.9%NACL 1000ML IRRBAG", "code_information": [{"code": "47017439", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 148.0, "discounted_cash": 111.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "1WES REHAB RM CHG", "code_information": [{"code": "1200005", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "1WOT PATIENT TYPE Q TELEMETRY", "code_information": [{"code": "1251602", "type": "CDM"}], "standard_charges": [{"gross_charge": 5086.0, "discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "2 HOLE STRAIGHT CRANIAL PLATE", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "8894552", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 244.0, "discounted_cash": 183.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "2.0 COMP PLATE 8H/10H/12H", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "8186157", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 1097.0, "discounted_cash": 822.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "2.0MM EMERGENCY SCREWS", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "8894537", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 1083.0, "discounted_cash": 812.25, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "20605 ASPIR/INJ INTER JOINT 24", "code_information": [{"code": "20605", "type": "CPT"}, {"code": "61080743", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": [{"gross_charge": 2098.0, "discounted_cash": 1573.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "21 HYDROXYLASE AB", "code_information": [{"code": "83516", "type": "CPT"}, {"code": "81199754", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 29.75, "discounted_cash": 22.31, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "250U HEPARIN 500ML UAC LINE", "code_information": [{"code": "47018593", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 180.0, "discounted_cash": 135.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE A", "code_information": [{"code": "1251743", "type": "CDM"}], "standard_charges": [{"gross_charge": 2673.0, "discounted_cash": 2004.75, "setting": "both", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE B", "code_information": [{"code": "1251750", "type": "CDM"}], "standard_charges": [{"gross_charge": 2915.0, "discounted_cash": 2186.25, "setting": "both", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE M", "code_information": [{"code": "1251768", "type": "CDM"}], "standard_charges": [{"gross_charge": 10947.0, "discounted_cash": 8210.25, "setting": "both", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE N", "code_information": [{"code": "1251776", "type": "CDM"}], "standard_charges": [{"gross_charge": 8602.0, "discounted_cash": 6451.5, "setting": "both", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE Q", "code_information": [{"code": "1251784", "type": "CDM"}], "standard_charges": [{"gross_charge": 5086.0, "discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE S", "code_information": [{"code": "1251792", "type": "CDM"}], "standard_charges": [{"gross_charge": 5086.0, "discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE T", "code_information": [{"code": "1251842", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE U", "code_information": [{"code": "1251800", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "2MAI PT TYPE V", "code_information": [{"code": "1251818", "type": "CDM"}], "standard_charges": [{"gross_charge": 3140.0, "discounted_cash": 2355.0, "setting": "both", "billing_class": "facility"}]}, {"description": "2W-IVP EA ADDL SEQ SUBS/DRUG", "code_information": [{"code": "96375", "type": "CPT"}, {"code": "6840243", "type": "CDM"}, {"code": "260", "type": "RC"}], "standard_charges": [{"gross_charge": 165.0, "discounted_cash": 123.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "2WES SEMI RM CHG", "code_information": [{"code": "1200096", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "2WEST PT TYPE Q TELEMETRY", "code_information": [{"code": "1251628", "type": "CDM"}], "standard_charges": [{"gross_charge": 5086.0, "discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "3 EAST NEWBORN NURSERY PT A", "code_information": [{"code": "1251214", "type": "CDM"}], "standard_charges": [{"gross_charge": 2673.0, "discounted_cash": 2004.75, "setting": "both", "billing_class": "facility"}]}, {"description": "3 EAST NEWBORN NURSERY PT B", "code_information": [{"code": "1251222", "type": "CDM"}], "standard_charges": [{"gross_charge": 2915.0, "discounted_cash": 2186.25, "setting": "both", "billing_class": "facility"}]}, {"description": "3 EAST PRI M/J RM CHARGE", "code_information": [{"code": "1200237", "type": 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"discounted_cash": 3814.5, "setting": "both", "billing_class": "facility"}]}, {"description": "4 HOLE BOX PLATE", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "8894578", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 2068.0, "discounted_cash": 1551.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "4 HOLE STRAIGHT CRANIAL PLATE", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "8894560", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 324.0, "discounted_cash": 243.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "4 POSITION MULTI PIN CLAMP", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "8150955", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 7289.0, "discounted_cash": 5466.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "4.0MM CANNULATED SCREW SHT/TRD", "code_information": [{"code": "C1713", "type": "HCPCS"}, {"code": "10121234", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 1263.0, "discounted_cash": 947.25, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "4EAS PRI RM CHG", "code_information": [{"code": "1200658", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "4EAS SEMI RM CHG", "code_information": [{"code": "1200708", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "4MEX ICU RM CHG", "code_information": [{"code": "1250125", "type": "CDM"}], "standard_charges": [{"gross_charge": 8602.0, "discounted_cash": 6451.5, "setting": "both", "billing_class": "facility"}]}, {"description": "4MEX PRIVATE RM CHG", "code_information": [{"code": "1250026", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "4MEX SEMI PRIVATE RM CHG", "code_information": [{"code": "1250018", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "4WES PRI RM CHG", "code_information": [{"code": "1200328", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "4WES SEMI RM CHG", "code_information": [{"code": "1200286", "type": "CDM"}], "standard_charges": [{"gross_charge": 3177.0, "discounted_cash": 2382.75, "setting": "both", "billing_class": "facility"}]}, {"description": "500MG CEFAZOIN 1L 0.9% NS IRR", "code_information": [{"code": "47019393", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": 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"RC"}], "standard_charges": [{"gross_charge": 338.0, "discounted_cash": 253.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "HIV GENO PROTEAS REGION", "code_information": [{"code": "87901", "type": "CPT"}, {"code": "81151979", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"gross_charge": 1269.0, "discounted_cash": 951.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "HIV I AG HIV I HIV II AB", "code_information": [{"code": "87389", "type": "CPT"}, {"code": "81192353", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"gross_charge": 376.0, "discounted_cash": 282.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "HIV I ANTIBODY", "code_information": [{"code": "86701", "type": "CPT"}, {"code": "81195604", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"gross_charge": 386.0, "discounted_cash": 289.5, "setting": "outpatient", "billing_class": 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"discounted_cash": 444.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ VENOGRPHY EXTRMTY", "code_information": [{"code": "36005", "type": "CPT"}, {"code": "14212831", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": [{"gross_charge": 3441.0, "discounted_cash": 2580.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ VENOGRPHY EXTRMTY", "code_information": [{"code": "36005", "type": "CPT"}, {"code": "22701155", "type": "CDM"}, {"code": "481", "type": "RC"}], "standard_charges": [{"gross_charge": 776.0, "discounted_cash": 582.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ VENOUS MALFORMATION", "code_information": [{"code": "37799", "type": "CPT"}, {"code": "14213680", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": [{"gross_charge": 5237.0, "discounted_cash": 3927.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ WRIST ARTHROGRAM", "code_information": [{"code": "25246", "type": "CPT"}, {"code": "21524046", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": [{"gross_charge": 1408.0, "discounted_cash": 1056.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ&CATH HYSTER/SONOHYST", "code_information": [{"code": "58340", "type": "CPT"}, {"code": "21523923", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": [{"gross_charge": 653.0, "discounted_cash": 489.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ&CATH HYSTER/SONOHYST", "code_information": [{"code": "58340", "type": "CPT"}, {"code": "22753008", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 1354.0, "discounted_cash": 1015.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ(S) SGL TENDON ORGIN/INSERT", "code_information": [{"code": "20551", "type": "CPT"}, {"code": "30013262", "type": 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"type": "CDM"}, {"code": "636", "type": "RC"}], "standard_charges": [{"gross_charge": 6296.0, "discounted_cash": 4722.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ-RHO D, HUMAN - FULL DOSE", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J2790", "type": "HCPCS"}, {"code": "29860392", "type": "CDM"}, {"code": "636", "type": "RC"}], "standard_charges": [{"gross_charge": 686.0, "discounted_cash": 514.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ-Rho D, HUMAN - FULL DOSE", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J2790", "type": "HCPCS"}, {"code": "15510571", "type": "CDM"}, {"code": "636", "type": "RC"}], "standard_charges": [{"gross_charge": 686.0, "discounted_cash": 514.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJ/DRAIN SMALL JT OR BURSA W/", "code_information": [{"code": "20604", "type": "CPT"}, {"code": "6580427", "type": "CDM"}, {"code": "510", "type": "RC"}], "standard_charges": [{"gross_charge": 1362.0, "discounted_cash": 1021.5, "setting": "outpatient", "billing_class": "facility"}], "modifiers": "LT"}, {"description": "INJ/DRAIN SMALL JT OR BURSA W/", "code_information": [{"code": "20604", "type": "CPT"}, {"code": "6580435", "type": "CDM"}, {"code": "510", "type": "RC"}], "standard_charges": [{"gross_charge": 1362.0, "discounted_cash": 1021.5, "setting": "outpatient", "billing_class": "facility"}], "modifiers": "RT"}, {"description": "INJ/DRN INTRMD JT OR BURSA W/U", "code_information": [{"code": "20606", "type": "CPT"}, {"code": "6580419", "type": "CDM"}, {"code": "510", "type": "RC"}], "standard_charges": [{"gross_charge": 1445.0, "discounted_cash": 1083.75, "setting": "outpatient", "billing_class": "facility"}], "modifiers": "RT"}, {"description": "INJ/DRN MAJOR JT OR BURSA W/US", "code_information": [{"code": "20611", "type": "CPT"}, {"code": "6580385", "type": "CDM"}, {"code": "510", "type": "RC"}], "standard_charges": [{"gross_charge": 1834.0, "discounted_cash": 1375.5, "setting": "outpatient", "billing_class": "facility"}], "modifiers": "LT"}, {"description": "INJ/DRN MAJOR JT OR BURSA W/US", "code_information": [{"code": "20611", "type": "CPT"}, {"code": "6580393", "type": "CDM"}, {"code": "510", "type": "RC"}], "standard_charges": [{"gross_charge": 1834.0, "discounted_cash": 1375.5, "setting": "outpatient", "billing_class": "facility"}], "modifiers": "RT"}, {"description": "INJECT NERVE BLOCK AMB OUTPT", "code_information": [{"code": "64450", "type": "CPT"}, {"code": "26207803", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": [{"gross_charge": 1065.0, "discounted_cash": 798.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INJECT PROC SACRO JNT", "code_information": [{"code": "27096", "type": "CPT"}, {"code": "21590427", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": 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"RC"}], "standard_charges": [{"gross_charge": 23537.0, "discounted_cash": 17652.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS CATH REN ART 1ST UNI", "code_information": [{"code": "21593009", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": [{"gross_charge": 25343.0, "discounted_cash": 19007.25, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS CATH REN ART 1ST UNI", "code_information": [{"code": "36251", "type": "CPT"}, {"code": "22752554", "type": "CDM"}, {"code": "481", "type": "RC"}], "standard_charges": [{"gross_charge": 20695.0, "discounted_cash": 15521.25, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS CATH REN ART 2ND UNI", "code_information": [{"code": "21593025", "type": "CDM"}, {"code": "361", "type": "RC"}], "standard_charges": [{"gross_charge": 15718.0, "discounted_cash": 11788.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS 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"type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 60.0, "discounted_cash": 45.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS LISPR 5U", "code_information": [{"code": "47032628", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 11.0, "discounted_cash": 8.25, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS LISPRO NEO 1U IJ", "code_information": [{"code": "47023551", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 16.0, "discounted_cash": 12.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS LNR BR HUM VITA E", "code_information": [{"code": "C1776", "type": "HCPCS"}, {"code": "8257750", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 13082.0, "discounted_cash": 9811.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS LV LD W/PM OR AICD", "code_information": [{"code": "33225", "type": "CPT"}, {"code": "22751267", "type": "CDM"}, {"code": "481", "type": "RC"}], "standard_charges": [{"gross_charge": 45394.0, "discounted_cash": 34045.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS PM GEN W/LD", "code_information": [{"code": "33212", "type": "CPT"}, {"code": "22751150", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 26727.0, "discounted_cash": 20045.25, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS SQ DEFIB ELEC", "code_information": [{"code": "33271", "type": "CPT"}, {"code": "14213631", "type": "CDM"}, {"code": "481", "type": "RC"}], "standard_charges": [{"gross_charge": 26794.0, "discounted_cash": 20095.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS TUNN INTRAPER CATH", "code_information": [{"code": "21592142", "type": "CDM"}, {"code": "361", "type": "RC"}], 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"billing_class": "facility"}]}, {"description": "INS/PMGEN W/EXISDUALLDS", "code_information": [{"code": "33213", "type": "CPT"}, {"code": "14401145", "type": "CDM"}, {"code": "481", "type": "RC"}], "standard_charges": [{"gross_charge": 34761.0, "discounted_cash": 26070.75, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS/RPL PM W/TRNSV LD AT", "code_information": [{"code": "33206", "type": "CPT"}, {"code": "14213144", "type": "CDM"}, {"code": "481", "type": "RC"}], "standard_charges": [{"gross_charge": 37506.0, "discounted_cash": 28129.5, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS/RPL PM W/TRNSV LD VE", "code_information": [{"code": "22751135", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 12516.0, "discounted_cash": 9387.0, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "INS/RPL PM W/TRNSV LD VE", "code_information": [{"code": "33207", "type": "CPT"}, 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